Commercial Loan Application

Commercial Loan Application
I. Applicant Information
Applicant *

First Name Last Name
SSN
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Borrowing Entity
Tax ID No.
Year Established
Year entity was established in.
State Established
Type of Entity *

Corporation Partnership Proprietorship LLC Individual Trust Association
If checked, more than one member/owner of borrowing entity
Project Street Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Additional Information
II. Loan Request
Loan Amount Requested *
Type of Loan

Purchase Refinance Construction Loan Renew/Increase Existing Loan
Collateral Offered *
Total Collateral Value
Collateral Owner (If different than borrower)
Current Lein (bank) Holder Name
Insurance Co/Agent
Agent Phone Number

Area Code Phone Number
Policy Dates
Type Of Coverege
III. Guarantor Information
Choose the appropriate selection that describes your relationship to the loan application. *
% Owner
Name
Position In Company/ Title
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Cell Phone

Area Code Phone Number
DOB

Month Day Year
Date
Email *
example@example.com
IV. Financial Information
Tax Returns Filed Through:

Month Day Year
Date
Are any returns being contested or audited:

Yes No
If Yes, please describe:
Accountant or Accounting Firm:
Attorney or Law Office
Signature

As part of a loan application submission, I grant Coastal Realty Capital, LLC DBA Maine Capital Group permission to pull a credit report. I also authorize Coastal Realty Capital, LLC, DBA Maine Capital Group to release this info to other lenders or third party vendors. Clear
Should be Empty:

Commercial Loan Application

I. Applicant Information

II. Loan Request

III. Guarantor Information

IV. Financial Information